Can Arm and Leg Cycling Exercise Improve Walking After Stroke?
It has been found that arm and leg cycling is similar to walking. Thus, the objective of this research is to determine if arm and leg cycling can be used to improve walking ability in a post-stroke population. This outcome would directly impact the health and quality of life for those who have suffered a stroke.
It has been found that arm and leg cycling is similar to walking in terms of the muscle
activation patterns, joint ranges of motion, and neural pathways activated. Another
advantage of arm and leg cycling is that it involves coordination of all four limbs in a
rhythmic movement. This may be particularly beneficial given previous findings that arm
movement contributes to the activation of leg muscles during walking in humans. This is
achieved with interconnected neural pathways that link the arms to the legs. These neural
interlimb connections remain intact in stroke victims, such that maximizing the contribution
of the arms to the legs may increase coordination for walking.
Thus, the objective of this research is to determine if arm and leg cycling can be used to increase the strength of inter-limb connections and if this helps to improve walking ability in a post-stroke population. 15-20 participants will be recruited to participate in a five week training intervention where measures will be taken before and after the intervention to assess efficacy. Arm and leg cycling could provide a novel method to improve inter-limb coupling and walking ability. These outcomes would directly impact the health and quality of life for those who have suffered a stroke.
|Gender||Minimum Age||Maximum Age||Healthy Volunteers?|
- Cerebrovascular accident
- Inability to stand
Interventions & Outcomes
Study Interventions & Types
Arm and Leg Cycling Exercise for Walking after Stroke
Timeframe: Within five days
Measure: Walking Ability
Description: Treadmill test of walking coordination, speed, and symmetry. Interlimb coordination assessed with peripheral nerve stimulation during arm and leg cycling and walking. Strength of dorsi-flexion and plantar-flexion and grip strength also assessed.
Safety Issue? No
Measure: Clinical Status assessed by a Physiotherapist
Timeframe: Within 5 days
Description: Clinical assessment of skin sensitivity, spasticity, balance and coordination, and walking endurance.
Safety Issue? No
Research Study Facility Map
Facility is not yet recruiting
Clinical Research Study Facility Locations
Victoria, British Columbia Canada